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Organization

FRANK ROTH DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK ROTH DO (DOCTOR)
(248) 474-2400
Entity
Organization

Contact information

Practice address
19223 MERRIMAN RD, LIVONIA, MI 48152-1754
(248) 474-2400
(248) 474-4730
Mailing address
19223 MERRIMAN RD, LIVONIA, MI 48152-1754
(248) 474-2400
(248) 474-4730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101004762
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0858214954
BLUE CROSS BLUE SHIELD
MI
05
2097910
MI
Enumeration date
04/10/2008
Last updated
04/24/2008
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